<!DOCTYPE html>
<html>
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">
							<div class="form-group">	
								<label class="col-sm-3 control-label">：</label>
								<div class="col-sm-8">
									<input id="userId" name="userId" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">产品ID：</label>
								<div class="col-sm-8">
									<input id="productId" name="productId" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">产品名称：</label>
								<div class="col-sm-8">
									<input id="productName" name="productName" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">店铺ID：</label>
								<div class="col-sm-8">
									<input id="shopId" name="shopId" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">店铺名称：</label>
								<div class="col-sm-8">
									<input id="shopName" name="shopName" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">真实姓名：</label>
								<div class="col-sm-8">
									<input id="realName" name="realName" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">创建时间：</label>
								<div class="col-sm-8">
									<input id="createTime" name="createTime" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">还款时间：</label>
								<div class="col-sm-8">
									<input id="repaymentTime" name="repaymentTime" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">放款时间：</label>
								<div class="col-sm-8">
									<input id="loanTime" name="loanTime" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">申请金额：</label>
								<div class="col-sm-8">
									<input id="applyAmt" name="applyAmt" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">放款金额：</label>
								<div class="col-sm-8">
									<input id="loanAmt" name="loanAmt" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">还款总金额：</label>
								<div class="col-sm-8">
									<input id="totalRepaymentAmt" name="totalRepaymentAmt" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">已经还款金额：</label>
								<div class="col-sm-8">
									<input id="alreadyRepaymentAmt" name="alreadyRepaymentAmt" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">剩余金额：</label>
								<div class="col-sm-8">
									<input id="remainRepaymentAmt" name="remainRepaymentAmt" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">利息：</label>
								<div class="col-sm-8">
									<input id="interest" name="interest" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">状态：</label>
								<div class="col-sm-8">
									<input id="status" name="status" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">：</label>
								<div class="col-sm-8">
									<input id="loanCycle" name="loanCycle" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">备注：</label>
								<div class="col-sm-8">
									<input id="remark1" name="remark1" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">备注：</label>
								<div class="col-sm-8">
									<input id="remark2" name="remark2" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">备注：</label>
								<div class="col-sm-8">
									<input id="remark3" name="remark3" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">备注：</label>
								<div class="col-sm-8">
									<input id="remark4" name="remark4" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">备注：</label>
								<div class="col-sm-8">
									<input id="remark5" name="remark5" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">备注：</label>
								<div class="col-sm-8">
									<input id="remark6" name="remark6" class="form-control" type="text">
								</div>
							</div>
																					<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
	</div>
	</div>
	<div th:include="include::footer"></div>
	<script type="text/javascript" src="/js/appjs/system/loanApplyLog/add.js">
	</script>
</body>
</html>
